ENTRY FORM GREAT

COMMUNITIES
2008
Montgomery County Planning Department
Photo Contest
Participant name: Address: Zip:

Phone: Email:

Name of parent or legal guardian (if participant is under 18):

Participant's DOB (if participant is under 18): Suggested caption:

Image location:

PHOTO SUBMISSION/PERSONAL CONTEST/WAIVER AND RELEASE/ HOLD HARMLESS

AGREEMENT
In consideration for receiving permission to participate in M-NCPPC's Montgomery County Planning Department 2008 Photo
Contest, I declare and affirm that:

TERMS AND CONDITIONS

1) I am the individual who took the submitted photograph.
2) I hereby grant to the M-NCPPC to the fullest extent of my rights and interest therein, the unrestricted, irrevocable and exclusive right and permission to use and reuse, publish, print,
distribute and reproduce for public display the submitted photograph in whole or in part, composite or retouched in character or form.
3) I have obtained consent from each readily identifiable and/or recognizable person in my photo for the unrestricted, irrevocable and exclusive right and permission to use and
reuse, publish, print, distribute and reproduce for public display the submitted photograph.
4) I understand I will not receive a fee or other form of compensation except for the potential to win a one-time contest award.
3) I have obtained consent from each readily identifiable and/or recognizable person in my photo for the unrestricted, irrevocable and exclusive right and permission to use and
reuse, publish, print, distribute and reproduce for public display the submitted photograph.
4) I understand I will not receive a fee or other form of compensation except for the potential to win a one-time contest award.
5) I hereby release, discharge and agree to hold harmless the M-NCPPC from any and all claims, damages, costs and liabilities that may arise as a result of entering and
participating in this photo contest or from any subsequent publication or disclosure of the submitted photograph.
6) The submitted photograph has not been widely published.
7) I am over the age of 18 and have the right to contract in my own name, or if I am not over the age of 18, my parent or legal guardian is signing this agreement on my behalf.
8) I hereby acknowledge that this agreement will be construed, interpreted and enforced according to the laws of the State of Maryland, in a court of competent jurisdiction in
Montgomery County, MD.
9) I have read and fully understand the terms and conditions herein and affirm that the foregoing is true and correct.
I understand the terms and conditions herein are contractual and not a mere recital, that this agreement is legally binding and that I have voluntarily signed or agreed to the terms and
conditions online of this instrument.

Signed: Date:
If the photograph was taken by a minor under the age of 18, I affirm that I am the minor's parent of legal guardian and that I consent to the photo being entered in the M-NCPPC’s
Montgomery County Planning Department 2008 Photo Contest.

Signed: Date:

How to submit your entry form:

1. If you are sending digital images, you must agree to our online terms and conditions before you can submit.
Go to http://mcparkandplanning.org/planning/photocontest
2. If you are mailing photographs, print, sign and send entry form via fax 301.495.4620, or mail attn: Planning Department photo contest

Montgomery County Planning Department Photo Contest

8787 Georgia Avenue, Suite 21, Silver Spring, MD 20910
Questions? Contact valerie.berton@mncppc-mc.org or 301.495.4600